Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Micheal Davenport-Mathis

Individual provider Behavior Technician · NPI 1497505606

Micheal Davenport-Mathis is a Behavior Technician in Douglasville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3294 SR-5 N
Douglasville, GA 30135
Phone: (857) 829-4040
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1497505606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 21, 2024

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